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I.M.P.A.C.T MEDGROUP INC NPI 1427371921


NPI Information

NPI: 1427371921
Provider Name: I.M.P.A.C.T, MEDGROUP, INC

Doing Business As: I.M.P.A.C.T HEALTH INC

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 10D2228608

Address:
724 39TH ST W
BRADENTON, FL
ZIP 34205
Phone: (941) 303-4120
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I.M.P.A.C.T, MEDGROUP, INC is an internal medicine in Bradenton, FL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. I.M.P.A.C.T, MEDGROUP, INC NPI is 1427371921. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As I.m.p.a.c.t Health Inc.

The provider's business location address is:

724 39TH ST W
BRADENTON, FL
ZIP 34205-454
Phone: (941) 303-4120
Fax: (813) 641-9001

The provider's authorized official is Vivian Robaina .
The authorized official title is Office Manager and has the following contact phone number (941) 303-4120.

The CLIA number assigned to this NPI record is 10D2228608 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/11/2010 and was last updated on 6/14/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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